Kessel 28701, Installation Manual, Page: 45 / 144

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10. Commissioning protocol for the operator
Separator Type ____________________________________________________
Day/Hour ____________________________________________________
Project description/Building services supervisor ______________________________________
Address/Telefon/Fax ____________________________________________________
Builder ____________________________________________________
Address/Telefon/Fax ____________________________________________________
Planner ____________________________________________________
Address/Telefon/Fax ____________________________________________________
Contracted plumbing company __________________________________________________
Address/Telefon/Fax ____________________________________________________
KESSEL-Commissions no.: ____________________________________________________
System operator/owner ____________________________________________________
Address/Telefon/Fax ____________________________________________________
User ____________________________________________________
Address/Telefon/Fax ____________________________________________________
Personal of delivery ____________________________________________________
other remarks ____________________________________________________
The system operator, and those responsible, were present during the commissioning
of this system
Signature
authorised to perform
acceptance Signature of system
operator Signature
carrying out the installation
work
Place, date